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General NPI Number Information
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NPI Number | 1588936900
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Entity Type | Organization
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Legal Business Name | JSF VENTURES PLLC
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Dates
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Enumeration Date | 01/31/2012
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Last Update Date | 02/12/2012
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Provider Practice Location Address
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Address Line | 3000 CUSTER RD STE 325
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City | PLANO
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State | TX
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Zip | 75075-4422
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Country | US
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Telephone | 972-265-9033
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Fax |
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Provider Business Mailing Address
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Address Line | 2208 NEW COLLEGE LN
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City | PLANO
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State | TX
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Zip | 75025-5500
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Country | US
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Telephone | 972-265-9033
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. SWAPNA JOS
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Credential |
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Telephone | 972-265-9033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 21127
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License Number State | TX
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